Reporting Laterality Still Requires Modifiers

by  Wyn Staheli, Director of Research
October 5th, 2015

One of the significant coding changes with ICD-10-CM was including laterality within the code itself. This concept should help reduce billing errors and claim denials. Interestingly, CMS issued a statement regarding the reporting of laterality in their provider newsletter (emphasis added).

Implementation of ICD-10-CM will not change the reporting of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, including CPT/HCPCS modifiers for physician services. While ICD-10-CM codes have expanded detail, including specification of laterality for some conditions, providers will continue to follow CPT and CMS guidance in reporting CPT/HCPCS modifiers for laterality.

So even though the ICD-10 code specifies the location, it is still essential to use the proper modifiers on CPT/HCPCS codes to indicate laterality. 

Reporting Laterality Still Requires Modifiers. (2015, October 5). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/reporting-laterality-still-requires-modifiers-27687.html

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